Individual
DAVID R GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA, LMT
Contact information
Practice address
1000 W PEMBROKE RD STE 316, HALLANDALE BEACH, FL 33009-2181
(305) 308-4817
Mailing address
2810 N 34TH AVE, HOLLYWOOD, FL 33021-3139
(305) 308-4817
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA22449
FL
225700000X
Massage Therapist
Primary
MA33593
FL
Other
Enumeration date
09/09/2020
Last updated
09/23/2020
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